Organization
MON TONTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ATHENA BEATRICE ENGESAETH (CEO)
(415) 635-9343
Entity
Organization
Contact information
Practice address
3650 18TH ST APT 2, SAN FRANCISCO, CA 94110-6702
(415) 377-6121
Mailing address
3650 18TH ST APT 2, SAN FRANCISCO, CA 94110-6702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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